| Regimental number | 4722 |
| Religion | Church of England |
| Occupation | Commercial traveller |
| Address | c/o Dr Magnus Adler, St John's Street, Hanley, Staffordshire, England |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Uncle, Dr Magnus Adler, St John's Street, Hanley, Staffordshire, England |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 15 April 1918 |